Lisa A. Jarvis, PA

NPI #1780777169 in Powell, Wyoming

Provider Information

NPI Number: 1780777169
Entity Type: Individual
Name: Lisa A. Jarvis, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 30, 2006
Last Updated: Apr 3, 2015

Practice Location

Address: 777 AVENUE H
City: Powell
State: Wyoming
ZIP Code: 82435
Phone: (307) 754-7257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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